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MLSA Membership Application Form
MLSA Membership Application Form
Step 1 of 4
25%
Name of Applicant(s)
*
First
Last
Company Details
*
Business Name
ABN
Trading As
Business Mobile
*
Email
*
Registered Business Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Alternate Mailing Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Business Landline
After Hours Phone
Website
Is your business a:
*
Sole Trader
Partnership
Incorporated (Pty Ltd)
Family Trust
Other
Number of years:
*
In the landscaping industry
In business
Number of Staff (full-time equivalent)
*
Services provided by your business that you are licensed or qualified to perform (e.g. 'paving'; 'landscape design' etc.)
*
Details of Directors/Partners/Principals
*
First Name
Last Name
Contact Number
Details of Accounts Payable Contact
*
First Name
Last Name
Contact Number
Email Address
Nominated Membership Category
*
Commercial Landscaper (>30% of total)
Residential Landscaper (>30% of total)
Landscape Designer
Landscape Designer with Supervisor's License
Garden Maintenance
Industry Supplier
Student
Referee 1: a Client
*
First Name
Last Name
Contact Number
Referee 2: an Industry Supplier
*
First Name
Last Name
Company Name
Contact Number
Referee 3: a General Referee from the Industry
*
First Name
Last Name
Company Name
Contact Number
Builder's Licence Number
Please upload a copy of your current Contractor's License, showing scope of registration.
Other Relevant Licenses Held
Please upload a certificate of currency for your business insurance policy.
RTO or Institution attended to achieve the above qualifications
Do you give MLSA your authority to supply the general public with your business contact details, along with an indication of the services provided by your business?
*
Yes
No
Please select your shirt size. (An MLSA polo is included in your Member Welcome Pack)
*
M
L
XL
XXL
Other
Declaration:
*
I hereby make an application for membership to the Landscape Association of South Australia Inc. trading as Master Landscapers of SA (MLSA). If accepted, I understand that MLSA will enter my name onto the member registry available for public access. I agree to be bound by the MLSA Constitution, rules and by-laws made thereafter and abide by the MLSA Code of Conduct.
Phone
This field is for validation purposes and should be left unchanged.